| Name: | J & M Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 26 Oct 1967 (57 years ago) |
| Entity Number: | 000-010-066 |
| Register Number: | 000010066 |
| Place of Formation: | Limestone County |
| Principal Address: | ATMORE, AL |
| Authorized Capital: | $25,000 |
| Paid Share Capital: | $15,000 |
Activities
DRUG STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821164401 | 2006-11-27 | 2015-08-21 | PO BOX 429, ARDMORE, TN, 384490429, US | 30508 ARDMORE AVENUE, ARDMORE, AL, 357397443, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-423-2155 |
| Fax | 2564238999 |
Authorized person
| Name | MR. WILLIAM E. HOLT JR. |
| Role | OWNER/MGR |
| Phone | 2564232155 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009905545 |
| State | AL |
| Issuer | DME |
| Number | 51052971 |
| State | AL |
| Issuer | MEDICARE SUPPLEMENT |
| Number | 3114962 |
| State | TN |
| Issuer | MEDICAID |
| Number | 4582027 |
| State | TN |
| Name | Role |
|---|---|
| MAUND, JOHN D | Incorporator |
| JOHNSON, ROGER | Incorporator |
| MINTON, EDWARD | Incorporator |
| COFFMAN, CORNELIUS | Incorporator |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
